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Individual

MARY S NIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
4201 LAKE BOONE TRL, STE 4, RALEIGH, NC 27607-7512
(919) 781-4434
(919) 781-5851
Mailing address
9621 BITTER MELON DR, ANGIER, NC 27501-5917
(919) 275-9675
(919) 400-4324

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9417
NC

Other

Enumeration date
11/13/2014
Last updated
05/15/2026
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